Jenna Gorham Nutrition Consulting

NPI #1821549015 in Bozeman, Montana

Provider Information

NPI Number: 1821549015
Entity Type: Organization
Organization Name: Jenna Gorham Nutrition Consulting
Primary Specialty: Dietitian, Registered
Enumeration Date: Oct 22, 2016
Last Updated: Oct 25, 2016

Practice Location

Address: 601 NIKLES DR STE 11
City: Bozeman
State: Montana
ZIP Code: 59715-2570
Phone: (508) 904-3454

Authorized Official

Name: JENNA MARIE GORHAM, RD
Title: OWNER
Phone: (508) 904-3454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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